Abstract

Chikungunya virus (CHIKV) is a mosquito-borne alphavirus that causes chikungunya fever, a severe, debilitating disease that often produces chronic arthralgia. Since 2004, CHIKV has emerged in Africa, Indian Ocean islands, Asia, Europe, and the Americas, causing millions of human infections. Central to understanding CHIKV emergence is knowledge of the natural ecology of transmission and vector infection dynamics. This review presents current understanding of CHIKV infection dynamics in mosquito vectors and its relationship to human disease emergence. The following topics are reviewed: CHIKV infection and vector life history traits including transmission cycles, genetic origins, distribution, emergence and spread, dispersal, vector competence, vector immunity and microbial interactions, and co-infection by CHIKV and other arboviruses. The genetics of vector susceptibility and host range changes, population heterogeneity and selection for the fittest viral genomes, dual host cycling and its impact on CHIKV adaptation, viral bottlenecks and intrahost diversity, and adaptive constraints on CHIKV evolution are also discussed. The potential for CHIKV re-emergence and expansion into new areas and prospects for prevention via vector control are also briefly reviewed.

Highlights

  • Emerging and re-emerging arthropod-borne viruses represent a significant threat to human and veterinary health worldwide

  • Chikungunya virus (CHIKV), a mosquito-borne alphavirus that causes chikungunya fever (CHIK), a severe, debilitating and often chronic arthralgia, is a prime example; since it was first isolated in 1952, the virus has been detected as the etiologic agent of sporadic epidemics in Africa and Asia and, since 2004, has expanded its geographic range to circulate on Indian Ocean islands, and in Italy, France, and the Americas

  • Most studies have used relatively high bloodmeal titers exceeding 7 log10 plaque forming units (PFU)/mL and mosquitoes were typically sampled more than seven days post-feed, experimental designs that maximize the chances of CHIKV infection and transmission

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Summary

Introduction

Emerging and re-emerging arthropod-borne viruses (arboviruses) represent a significant threat to human and veterinary health worldwide. Chikungunya virus (CHIKV), a mosquito-borne alphavirus that causes chikungunya fever (CHIK), a severe, debilitating and often chronic arthralgia, is a prime example; since it was first isolated in 1952, the virus has been detected as the etiologic agent of sporadic epidemics in Africa and Asia and, since 2004, has expanded its geographic range to circulate on Indian Ocean islands, and in Italy, France, and the Americas. Emergence of arboviruses like CHIKV underscores the interconnectedness of humans with their environments, and highlights our vulnerabilities to new disease threats posed by spreading viruses. Understanding how arboviruses like CHIKV emerge is critical to predict and prevent or mitigate human disease. Central to understanding emergence is knowledge of the natural ecology of CHIKV transmission and the dynamics of vector infections. We discuss current knowledge of CHIKV infection dynamics in mosquito vectors and its relationship to human disease emergence

Chikungunya Virus Transmission Cycles and Genetic Origins
RYJRURG
Chikungunya Vector Distribution
Vector Dispersal and Genetics
Vector Competence
Chikungunya Virus Vector Immunity and Microbial Interactions
Vector co-Infection by Chikungunya and Other Arboviruses
Genetics of Vector Susceptibility and Host Range Changes
Viral Bottlenecks and Intrahost Diversity
Adaptive Constraints on Chikungunya Virus Evolution
Potential for Re-Emergence and Expansion into New Areas
Prospects for Prevention via Vector Control
Findings
Conclusions
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